Feng Mengzhao, An Yuan, Qin Qi, Fong Iat-Hang, Zhang Kaiyuan, Wang Fang, Song Dengpan, Li Mengyuan, Yu Min, Yeh Chi-Tai, Chang Junlei, Guo Fuyou
Department of Neurosurgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province, 450000, China.
Key Laboratory of Biomedical Imaging Science and System of Chinese Academy of Sciences, Shenzhen Institute of Advanced Technology, Chinese Academy of Sciences, Shenzhen, Guangdong Province, 518055, China.
Cell Death Dis. 2024 Dec 23;15(12):926. doi: 10.1038/s41419-024-07310-4.
Intracerebral hemorrhage (ICH) is a severe stroke subtype with high mortality and limited therapeutic options. The blood-brain barrier (BBB) breakdown post-ICH exacerbates secondary brain injury, highlighting the need for targeted therapies to preserve the BBB integrity. We aim to investigate the role of the Sphk1/S1P pathway in BBB breakdown following ICH and to evaluate the therapeutic potential of Sphk1 inhibition in mitigating this breakdown. Using a combination of human patient samples, mouse models of ICH, and in vitro cellular assays, we assessed the expression levels of Sphk1/S1P after ICH and changes of the BBB after ICH. The Sphk1 inhibitor PF543 and siRNAs were utilized to explore the pathway's impact on BBB integrity and the underlying mechanisms. The results indicate significant upregulation of Sphk1/S1P in the peri-hematomal brain tissue after ICH, which correlates with increased BBB leakage. Pharmacological inhibition of Sphk1 with PF543 attenuates BBB leakage, reduces hematoma volume, and improves neurological outcomes in mice. At the molecular and ultrastructural level, Sphk1 inhibition protects the BBB integrity by preserving tight junction proteins and suppressing endothelial transcytosis. Furthermore, mechanistic studies reveal that Sphk1 promotes Nlrp3-mediated pyroptosis of brain endothelial cells through the ERK1/2 signaling pathway. Taken together, the Sphk1/S1P pathway plays a critical role in ICH-induced BBB breakdown, and its inhibition represents a promising therapeutic strategy for ICH management.
脑出血(ICH)是一种严重的中风亚型,死亡率高且治疗选择有限。脑出血后血脑屏障(BBB)的破坏会加剧继发性脑损伤,这凸显了采用靶向治疗来维持血脑屏障完整性的必要性。我们旨在研究鞘氨醇激酶1/鞘氨醇-1-磷酸(Sphk1/S1P)通路在脑出血后血脑屏障破坏中的作用,并评估抑制Sphk1在减轻这种破坏方面的治疗潜力。通过结合人类患者样本、脑出血小鼠模型和体外细胞试验,我们评估了脑出血后Sphk1/S1P的表达水平以及脑出血后血脑屏障的变化。使用Sphk1抑制剂PF543和小干扰RNA(siRNAs)来探究该通路对血脑屏障完整性的影响及其潜在机制。结果表明,脑出血后血肿周围脑组织中Sphk1/S1P显著上调,这与血脑屏障渗漏增加相关。用PF543对Sphk1进行药理学抑制可减轻血脑屏障渗漏,减少血肿体积,并改善小鼠的神经功能结局。在分子和超微结构水平上,抑制Sphk1可通过保留紧密连接蛋白和抑制内皮细胞转胞吞作用来保护血脑屏障的完整性。此外,机制研究表明,Sphk1通过细胞外信号调节激酶1/2(ERK1/2)信号通路促进脑内皮细胞的Nlrp3介导的细胞焦亡。综上所述,Sphk1/S1P通路在脑出血诱导的血脑屏障破坏中起关键作用,抑制该通路代表了一种有前景的脑出血治疗策略。
Curr Neurol Neurosci Rep. 2023-8
J Am Coll Cardiol. 2023-6-13